ATI RN
ATI n200 Med Surg Exam Questions
Extract:
Question 1 of 5
When the nurse admits a client with anorexia nervosa for treatment, what factors should the therapeutic milieu provide? (SELECT ALL THAT APPLY)
Correct Answer: A,C,E
Rationale: Observation during and after meals is essential to prevent purging behaviors and to ensure the client is eating and not engaging in unhealthy behaviors. Unscheduled weight checks could increase anxiety and are not typically part of a structured treatment approach. Monitoring bathroom trips is important to prevent purging behaviors, such as vomiting, after meals. Meals should be offered on a regular schedule to promote healthy eating habits and avoid the unpredictability that can lead to eating disorder behaviors. Adherence to scheduled meal times helps provide structure and consistency for the client, which is crucial for managing anorexia nervosa.
Question 2 of 5
The nurse is changing a client's abdominal dressing and notes a separation of the incision line. The underlying tissue is protruding from the wound. The nurse should plan to do which of the following in the initial care of this wound?
Correct Answer: D
Rationale: Saline-soaked dressing (
D) keeps tissue moist. Iodine (
A), irrigation (
B), and dry dressing (
C) risk tissue damage.
Question 3 of 5
The nurse is caring for a client newly diagnosed with Clostridium difficile. This client should be placed on which type of precautions?
Correct Answer: C
Rationale: Neutropenic precautions are for immunocompromised clients to prevent infections. Airborne precautions are for pathogens spread through the air. Contact precautions prevent the spread of infections through direct or indirect contact. Droplet precautions are for pathogens spread through large droplets.
Question 4 of 5
A client is admitted with a dislocation of the right shoulder. The nurse knows this is an orthopedic emergency and that the priority for treatment will be:
Correct Answer: A
Rationale: The priority in treating a dislocated joint is to realign the dislocated bones to their proper position, which is crucial to prevent damage to the surrounding nerves, blood vessels, and muscles. This should be done promptly under medical supervision, often requiring sedation or pain management. Teaching the client to avoid contact sports is important for long-term care, but not an immediate priority in the acute phase. Applying a sling helps support the joint, but it is not the first priority; realignment of theJ
Question 5 of 5
The nurse is providing discharge teaching for a client diagnosed with right lower lobe pneumonia. What information should be provided for this client? (SELECT ALL THAT APPLY)
Correct Answer: A,C,D
Rationale: Avoiding crowds (
A) reduces infection risk during recovery. Reporting temperature elevations (
C) ensures timely intervention for complications. Finishing antibiotics (
D) prevents infection resurgence and resistance. Immediate activity increase (
B) risks fatigue, and e-cigarettes (E) are not advised due to health risks.